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Journal of Neurosurgical Sciences 2000 June;44(2):89-93

Copyright © 2000 EDIZIONI MINERVA MEDICA

lingua: Inglese

Glial cyst of the pineal gland: case report and considerations about surgical management

Tartara F., Regolo P., Terreni M. R., Giovanelli M.

Division of Neurosurgery, IRCCS S. Raffaele Hospital, University of Milan, Milan, Italy


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Symptomatic ­glial ­cyst of ­the pine­al ­gland ­are ­rare ­lesions. Origin, nat­u­ral his­to­ry ­and fac­tors lead­ing to ­cyst enlarge­ment ­are ­not com­plete­ly ­clear; ­thus man­age­ment ­remain uncer­tain in ­some cas­es. We ­report a ­case of symp­to­mat­ic ­glial ­cyst ­and ana­lyze ­the impli­ca­tion ­for sur­gery. Surgical man­age­ment is indi­cat­ed in ­patients pre­sent­ing hydro­ceph­a­lus, ­mass ­effect or symp­toms relat­ed to mesen­ce­phal­ic dys­func­tion. The infra­ten­to­ri­al supra­cer­e­bel­lar ­approach rep­re­sent ­the ­first ­choice ­for ­this con­di­tion allow­ing ­easy orien­ta­tion ­with ­wide expo­sure of ­the ­tumor ­and ­good vis­ibil­ity of ­deep ­venous ­systems ­that ­may be pre­served. Size of ­the ­tumor is a ­key ele­ment in eval­u­a­tion of ­the treat­ment ­and ­the appro­pri­ate ­course ­for asymp­to­mat­ic ­cyst ­less ­than 1 cm in ­size con­sist of con­ser­va­tive man­age­ment. Periodic fol­low up is ­always indi­cat­ed.

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